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ORGANISATION OF MEDICAL SERVICES & DOPING CONTROL FOR

FIFA COMPETITIONS

I. GENERAL INFORMATION
The organisation of medical services at FIFA competitions basically consists of two parts:

medical care for players, team officials, FIFA officials and staff
doping control execution

Both services will be provided by FIFA and LOC medical officers in close cooperation.
Please note:
Emergency and first aid for spectators and LOC staff at the stadiums incl. disaster management lies
within the responsibility of the LOC and the local authorities / government and is not addressed in
this document.

II. MEDICAL STAFF RESPONSIBILITIES


FIFA
FIFA MEDICAL OFFICERS

FIFA will appoint a FIFA General Medical Officer for each respective competition who will be
responsible for the management of health care issues, coordination with LOC medical services,
doping controls and related matters as well as injury assessment as part of an on-going
F-MARC study.

FIFA Venue Medical Officers will be allocated from either the FIFA Medical Committee or the
FIFA Network of Medical Officers to each venue to carry out the doping controls, manage and
coordinate all health issues at the venues.

FIFA MEDICAL OFFICE


The FIFA medical office in Zurich will name administrative staff responsible for the organisation
of the competition.

LOCAL ORGANISING COMMITTEE (LOC)


a) LOC MEDICAL OFFICERS FOR MEDICAL SERVICES FOR PLAYERS, TEAM OFFICIALS, FIFA
OFFICIALS AND FIFA STAFF (24/7 DURING COMPETITION)

The LOC will have to appoint a LOC General Medical Officer as the primary contact person
for the FIFA Medical Office and later for the FIFA General Medical Officer. He/she is
responsible for LOC medical services and needs to be fluent in English. In close cooperation
with the FIFA medical office in Zurich, the LOC General Medical Officer will plan and organise
24 hour emergency medical cover at all venues as well as the arrangements for medical

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matters and doping control. During the competition, he/she will liaise with the FIFA General
Medical Officer in these regards.

The LOC will have to appoint one local doctor per venue as LOC Venue Medical Officer who
will be an integrated part of the local medical network and assist the FIFA Venue Medical
Officer at the venues and the FIFA Headquarters with regard to patient consultations and
medication. They need to be fluent in English and act as liaison officers between the players,
team officials, FIFA officials and staff in case of illness and/or emergency in order to
guarantee access to local hospitals, specialist care and medication when necessary. They have
the overall responsibility for the LOC medical team at their venue.

At major competitions and at the FIFA Headquarters, regular consultation hours for FIFA and
LOC staff must be provided by the LOC General Medical Officer.

b) LOC DOPING CONTROL OFFICERS (MATCH DAYS ONLY)


The LOC will have to appoint one local doctor per venue as LOC Doping Control Officer.
He/she needs to be fluent in English and will assist the FIFA Medical Officer when doping
control is carried out at matches.

c) LOC STRETCHER BEARERS (MATCH DAYS ONLY)


Two medical groups, each consisting of one doctor and three paramedics with a hard board
stretcher and a fully equipped emergency bag (see below), need to be provided and be
seated on a bench close to the touch line on each side of the pitch at all stadiums for the
swift, efficient and smooth transfer of injured players to the touch line during a match.

d) LOC EMERGENCY CARE FOR PLAYERS (MATCH DAYS ONLY)


Two medical groups with at least one emergency physician and two emergency paramedics
with a fully equipped emergency bag (see below) need to be allocated in the rooms for
emergency care of players. The room needs to be allocated in the area (tunnel) between the
locker rooms and the pitch.

e) LOC DOPING CONTROL CHAPERONES (MATCH DAYS ONLY)


Four doping control chaperones will need to be allocated to the doping control team at all
venues. They are responsible for escorting the players who have been selected for doping
control from the field of play immediately to the doping control room after the match has
finished.

f) LOC DOPING CONTROL SECURITY GUARDS (MATCH DAYS ONLY)


The doping control room must be guarded by a member of the local security force at all
times during the doping test to ensure that nobody other than authorised persons enter the
doping control area.

g) PARAMEDICS (TRAINING TIMES OF TEAMS ONLY)


At the training sites, two paramedics trained in Advanced Cardiac Life Support (ACLS) must be
present for the care of players and team officials during training. They need to be fully
equipped incl. an AED (Automatic External Defibrillator) (emergency bag contents see below)
and have access to full emergency ambulance services.

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III. INFRASTRUCTURE REQUIREMENTS


HOSPITALS (24/7 DURING COMPETITION)
One to two hospitals per venue should be identified by the LOC that provide at least the
following services:
a) 24-hours Accident & Emergency unit / traumatology
b) Orthopaedics
c) Cardiology incl. interventional techniques; i.e. cardio angiography, application of
stents
d) Radiology (X-ray facilities, ultrasound (in particular soft tissues), computer
tomography, magnetic resonance imaging)
e) Sports medicine
f) Internal medicine, incl. intensive care unit
g) General surgery
Hospitals should be situated in proximity to the hotels and stadium. Road travel with an
ambulance and police escort should not take longer than 15 min. If distances are longer or
traffic prevents swift evacuation by road, helicopter services for air transport should be foreseen.
24-hours emergency dental services on call at each venue
At senior and men U-20 competitions, teams will bring their own physiotherapy team and
equipment. At youth competitions, in particular in women, physiotherapy facilities close to the
hotels or even set up there might be considered.

STADIUM: MATCHES
Four ambulances with AEDs each have to be stationed at every stadium for the care of players,
team officials, VIPs and FIFA delegation.
Important: It has to be made sure that the access ways/entrances to the medical rooms, the
players tunnel, the dressing rooms and the VIP areas are free for the ambulances at any time.
No media is allowed in this area!
Every stadium has to have the following two fully equipped medical rooms for the care of
players, team officials, VIPs and FIFA delegation:
One medical room is required to be in the area (tunnel) between the locker rooms and the pitch
for the emergency treatment of seriously injured players, as well as the necessary equipment for
surgical and cardiological emergency diagnosis and confirmation of their ability for
transportation. Minimum size of the medical room 20 m2.
One medical room has to be located in the VIP area (depending on the size of the VIP area two
medical rooms might be necessary) with good, unrestricted access for stretcher bearers.
Minimum size of the medical room 20 m2.
Equipment: Both medical rooms need to be fully equipped for all emergency diagnosis and
treatment (LOC responsibility), such as
1-2 examination and treatment tables, 2 portable stretchers
Defibrillator with rhythm and patient data recording (AED)
Cardiac monitor
External cardiac pacing
Infusion mounting and system with all equipment for injections and infusions, incl.
venous indwelling cannulae
Infusion system designed to allow administration of fluid warmed to 37C +/- 2C
Pressure infusion device, volumetric infusing device
Central vein catheters
Pericardial puncture set
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Drug administration equipment


Intubation equipment
Automatic ventilator, stationary oxygen min. 2000 l or portable oxygen min. 400 l,
stationary non-manual suction device with minimum negative pressure of 500 mm of
mercury with a minimum capacity of 1, capnometer, PEEP-valve
Thorax drainage kit
Immobilisation equipment like vacuum mattress, spinal board, cervical collar-set

Recommended contents of transportable emergency bag

Diagnosis
Stethoscope, BP monitor with cuff size 10 cm/66 cm, pupil lamp, reflex hammer, blood
sugar gauge and/or blood sugar test sticks, digital thermometer, pulse oximeter,
capnometer
Circulation
Infusion equipment with administration sets and solutions, defibrillator with rhythm and
patient data recording, cardiac monitor, external cardiac pacing, portable advanced
resuscitation system
Breathing
Portable airway care system, aspirator, suction catheter, portable oxygen min. 400 l,
resuscitators with masks and airways, mouth to mask ventilator with oxygen inlet, larynx
mask, intubation equipment, tubes
Miscellaneous
Emergency drugs, drug administration equipment incl. intravenous fluids, adhesive fixing
materials, coniotomy set, blade holder, set for burn treatment, emergency surgical
instruments incl. suture material, splints for fixation of limbs, vacuum mattress or long
spinal board complete with head immobiliser, cervical collar set/rigid neck brace, cervical
upper spinal immobilisation devices, disinfection equipment, disposable gloves.

COMMUNICATION DEVICES
All LOC Medical Officers need to be equipped with a specific competition cell phone. Numbers of
all LOC medical staff will be stored in the directory installed on FIFA cell phones.

IV. FLOW OF COMMUNICATION


In case of injuries or complaints of players / teams, the team physician contacts either the FIFA
Medical Officer or directly the LOC Medical Officer (as agreed at medical meeting) to coordinate
appointments at the local medical facilities.
In case of complaints or diseases of delegation members, the FIFA Medical Officer contacts either
the LOC Medical Officer or directly the designated International SOS clinic.
Team physician

(FIFA Medical Officer)

LOC Medical Officer

Hospital

FIFA Medical Officer

LOC Medical Officer

No direct contacts of team physicians with local medical facilities.


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V. DOPING CONTROL
Doping control will be carried out after each match following the procedure as outlined in the FIFA
Anti-Doping Regulations.

DOPING CONTROL FACILITIES


All venues must have doping control facilities (see encl. plan of doping control room) in the
vicinity of the dressing rooms of both teams. The doping control room, the waiting area and the
toilet must be air-conditioned and well ventilated as well as brightly lit with easily washable and
non-slippery floors.
a)

Doping control room:

Minimum size of the doping control room 16 m2


Equipment: 1 desk with 4 chairs, 1 lockable cabinet, washbasin and mirror, 2 large wastepaper
bins, 1 desk for doping control equipment

b)

Sanitary facilities (immediately next to doping control room, with direct private access):

Toilet
Toilet paper
Wash basin and mirror
Shower
Towels
Wastepaper bin

c)

Waiting room:

Minimum size 16m2


Seating arrangement to accommodate 8 persons
Refrigerator equipped with sufficient unopened drinks in plastic bottles (the following drinks
are not allowed: Coca-Cola, diet Coke, alcoholic drinks)
TV
Wastepaper bin for bottles

NB. Doping control material and the necessary forms will be supplied by FIFA.

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Doping Control room

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LOGISTICS
The urine samples will be screened for prohibited substances at the following WADA-accredited
laboratory:

ADDRESS DOPING CONTROL LABORATORY:


(TBD)
Procedure:
Upon the completion of each doping control, the samples will be immediately transported by
express delivery to the laboratory. FIFA medical office will contact the courier service and the
laboratory in order to make all necessary arrangements with them directly and in due advance.
Further arrangements by LOC:

Doping controls may take up to 2 to 3 hours after the match. Transportation back to the hotel
for the FIFA Medical Officers and players following the completion of the doping control has to
be guaranteed.

VI. TIME SCHEDULE


Approximately one and a half years prior to the start of the competition:

Inspection tour of medical facilities/infrastructure by representatives of FIFA competition


division, notification of any deficits to LOC.

Six months prior to the start of the competition:

Notification of LOC General Medical Officer and LOC Venue Medical Officer incl. specialities
and venue assignments to FIFA medical office.

The LOC General Medical Officer informs the FIFA medical office regarding the procedure for
registration of the FIFA Medical Officers with the local medical board (if necessary) and will
take care of all the administration.

The LOC General Medical Officer informs the FIFA medical office on the procedure (if
necessary) regarding the importation of medication by FIFA and the teams.

The LOC General Medical Officer confirms the availability of the above-mentioned facilities for
medical care and doping control at each of the venues. This is also the latest date for
discussion of any problems or deficits in this regard.

LOC General Medical Officer updates FIFA medical office and FIFA competitions division on
achievements regarding necessary adoptions of medical facilities.

List of hospitals as identified by the LOC General Medical Officer for the provision of medical
cover for participating teams and FIFA delegation at all venues with all specialities and services
to be provided to medical office for approval.

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Four months prior to the start of the competition:


Contact list of all hospitals providing medical cover for participating teams and FIFA delegation
at all venues with full details to be provided to medical office.
Confirmation by LOC General Medical Officer that all medical facilities as required by FIFA are
in place.
List with all contact details of the LOC medical officers incl. cell phone numbers to be provided
to medical office.
Three to four days prior to the start of the competition:

FIFA General Medical Officer and FIFA Venue Medical Officer as well as FIFA medical office
responsible arrive at headquarter. They will organise an official medical meeting with LOC
General Medical Officer and all LOC Venue Medical Officer (whenever possible) with regard to
medical and doping control services that will be in operation during the competition.

LOC informs FIFA General Coordinator and FIFA General Medical Officer on consultation hours
for FIFA delegation and the location of the examination room.

Pre-match day:

LOC Medical Officer confirms the availability of medical services as required by FIFA at the
official FIFA match coordination meeting.

Match day:

Transportation of FIFA Medical Officer to stadium to be ensured, arrival no later than two
hours prior to kick-off.

Security guard in front of doping control room as from two hours before the start of the
match.

LOC Medical Officer reports to FIFA Medical Officer at doping control room two hours before
the match and informs on the medical emergency care services incl. ambulances.

Doping control volunteers report to FIFA Medical Officer no later than one hour before the
start of the match and receive their bibs.

Keys for doping control room to be handed over to FIFA Medical Officer.

Transportation of FIFA Medical Officers and players after completion of doping control to be
ensured.

Zurich, September 2013

Prof. Jiri Dvorak, MD


FIFA Chief Medical Officer

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